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NPI 1306483276 · on the registry since 2019
Practice
- Address
- 108 Virginia Ave
Modesto, CA 95354 - Phone
- (209) 303-5501
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
Professional Counselor
Case Manager/Care Coordinator - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California